针刺和推拿配合神经发育学疗法对痉挛型脑瘫患儿粗大运动功能的影响

The effect of acupuncture and tuina combined with neurodevelopment therapy on gross motor function of children with spastic cerebral palsy

目的:观察针刺和推拿配合神经发育学疗法对痉挛型脑瘫患儿粗大运动功能的影响。方法:按照病例纳入标准,选择痉挛型脑瘫患儿60例,随机分成对照组和治疗组,每组各30例。对照组仅给予神经发育学疗法治疗,治疗组在神经发育学疗法的基础上,同时给予针刺和推拿治疗。两组患儿均连续治疗8周。结果:治疗8周后,两组患儿粗大运动功能测试量表总分均显著高于治疗前(P<0.001),且治疗组的粗大运动功能测试量表改善值明显高于对照组(P<0.001)。结论:针刺和推拿配合神经发育学疗法能显著提高痉挛型脑瘫患儿粗大运动功能,且疗效高于单纯神经发育学疗法。

Objective： To observe the effect of acupuncture and tuina combined with neurodevelopment therapy on gross mo- tor function of children with spastic cerebral palsy. Method： According to the case inclusion criteria, 60 children with spastic cerebral palsy were included and divid- ed into control group and treatment group, 30 cases in each group. The control group was only given neurodevel- opment therapy, the treatment group was given acupuncture and tuina on the basis of the neurodevelopment thera- py. The two groups were both treated for 8 consecutive weeks. Result： After 8 weeks of treatment, the total score of gross motor function measurement of the both groups was significant higher than that of their baseline evaluation （P〈 0.001）, and the change of total score of gross motor function measurement in treatment group was significant higher than that in control group （P 〈 0.001）. Conclusion： Acupuncture and tuina combined with neurodevelopment therapy can obviously improve the gross mo- tor function of children with spastic cerebral palsy, and its efficacy were higher than neurodevelopment therapy.